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Individual
OWEN STARK
Active
Individual
OWEN STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
57012650
OH
2085R0202X
Diagnostic Radiology Physician
MD443256
PA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
4301083869
MI
2085R0204X
Vascular & Interventional Radiology Physician
MD443256
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102628033
—
PA
Enumeration date
09/19/2007
Last updated
07/09/2021
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